Assessing the Relationship Between HIV Quality of Care and Treatment Literacy on ART Adherence and Viral Suppression Among Female Sex Workers Living in the Dominican Republic

Tahilin Sanchez Karver; Yeycy Donastorg; Martha Perez; Hoisex Gomez; Noya Galai; Clare Barrington; David Celentano; Deanna Kerrigan

doi:10.1007/s10461-022-03647-z

Assessing the Relationship Between HIV Quality of Care and Treatment Literacy on ART Adherence and Viral Suppression Among Female Sex Workers Living in the Dominican Republic

Tahilin Sanchez Karver, Yeycy Donastorg, Martha Perez, Hoisex Gomez, Noya Galai, Clare Barrington, David Celentano, Deanna Kerrigan

Department of Statistics

Research output: Contribution to journal › Article › peer-review

Abstract

This study assessed the relationship between the quality of HIV care and treatment literacy on antiretroviral therapy (ART) adherence and viral suppression among female sex workers (FSWs) living with HIV (n = 211) in Santo Domingo, Dominican Republic. Multivariable logistic regression results indicate better patient-provider communication (AOR 1.04; 95% CI 1.01–1.07) and respectful treatment (AOR 2.17; 95% CI 1.09–4.32) increase the odds of viral suppression, while higher costs reduce both the odds of ART adherence (AOR 0.57, 95% CI 0.34- 0.95) and being virally suppressed (AOR 0.59, 95% CI 0.41–0.85). Greater treatment literacy was associated with an increased odds of ART adherence (AOR 4.15 for understanding of viral load; 95% CI 1.50–11.52) and viral suppression (AOR 2.75 for understanding of CD4 count; 95% CI 1.31–5.80). Findings support investments in treatment education, effective and respectful patient-provider communication, dignified care, and cost-support for associated HIV care costs to facilitate FSWs’ pathway towards viral suppression.

Original language	English
Journal	AIDS and Behavior
DOIs	https://doi.org/10.1007/s10461-022-03647-z
State	Accepted/In press - 2022

Bibliographical note

Funding Information:
This study was supported by the National Institute of Mental Health through R01MH110158 (Principal Investigator: Deanna Kerrigan).

Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

HIV care continuum
Quality of care
Sex work
Treatment literacy

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-022-03647-z

Cite this

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title = "Assessing the Relationship Between HIV Quality of Care and Treatment Literacy on ART Adherence and Viral Suppression Among Female Sex Workers Living in the Dominican Republic",

abstract = "This study assessed the relationship between the quality of HIV care and treatment literacy on antiretroviral therapy (ART) adherence and viral suppression among female sex workers (FSWs) living with HIV (n = 211) in Santo Domingo, Dominican Republic. Multivariable logistic regression results indicate better patient-provider communication (AOR 1.04; 95% CI 1.01–1.07) and respectful treatment (AOR 2.17; 95% CI 1.09–4.32) increase the odds of viral suppression, while higher costs reduce both the odds of ART adherence (AOR 0.57, 95% CI 0.34- 0.95) and being virally suppressed (AOR 0.59, 95% CI 0.41–0.85). Greater treatment literacy was associated with an increased odds of ART adherence (AOR 4.15 for understanding of viral load; 95% CI 1.50–11.52) and viral suppression (AOR 2.75 for understanding of CD4 count; 95% CI 1.31–5.80). Findings support investments in treatment education, effective and respectful patient-provider communication, dignified care, and cost-support for associated HIV care costs to facilitate FSWs{\textquoteright} pathway towards viral suppression.",

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AU - Galai, Noya

AU - Barrington, Clare

AU - Celentano, David

AU - Kerrigan, Deanna

N1 - Funding Information: This study was supported by the National Institute of Mental Health through R01MH110158 (Principal Investigator: Deanna Kerrigan). Publisher Copyright: © 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Assessing the Relationship Between HIV Quality of Care and Treatment Literacy on ART Adherence and Viral Suppression Among Female Sex Workers Living in the Dominican Republic

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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